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Home My WebLink About0029636-Plumbing (water heater) E � CITY OF OSHKOSH N°- 29636 `' PERMIT - APPI�ICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG �SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ��f'� PLAN NO. � . OWNER DESIGNER USE/NATURE OF WORK _��''�Q-'��'G`- �� BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR --u�"� —BT �WH —Disp —WSoft —CBasin _Lav _Sh —DW —DF —San. Sewer —WC —FDr —SP —Ur —Storm Sewer _Sink _LTub —Eject —SS _Water Other FEES: Valuation $ �Q � 'd � Permit Fee Paid $ � '� d Park Dedication $ ISSUED BY � Date 7 S Z Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. � -9-Q'z SIGNATURE � � I ` AGENT/OWNER DATE ADDRESS � l � � S ��' ,_2-�3-_6 7 � � TELEPHONE#